| Lake Family Medical Practice Pc | |
|
201 Portion Rd Ste A Lake Ronkonkoma NY 11779-4172 | |
| (631) 981-1333 | |
| (631) 981-2326 |
| Full Name | Lake Family Medical Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Portion Rd Ste A, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Robert A Tufano (CEO) |
| Authorized Official Contact | 6319811333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Family Medical Practice Pc 201 Portion Rd Ste A Lake Ronkonkoma NY 11779-4172 Ph: (631) 981-1333 | Lake Family Medical Practice Pc 201 Portion Rd Ste A Lake Ronkonkoma NY 11779-4172 Ph: (631) 981-1333 |
| NPI Number | 1639923675 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639923675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
North Shore Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779 Phone: 631-585-5959 | |
Project Samaritan Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779 Phone: 631-306-5895 Fax: 718-657-1870 | |
Ismail Ozcan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Church St, Lake Ronkonkoma, NY 11779 Phone: 631-588-6665 Fax: 631-580-5543 | |
Theodore Fried Burford Welch & David Hauer Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480 | |
Rakesh Sharma Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Portion Rd, Suite 104, Lake Ronkonkoma, NY 11779 Phone: 631-588-8393 Fax: 631-588-2312 | |
Michael Creta, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-981-0045 Fax: 631-981-1117 |